Older People And Cognition

Question 1

Four main cognitive diseases in elderly

Answer 1

Delirium
Dementia
Depression
Mild cognitive decline

Question 2

Managing delirium

Answer 2

Reduce risk factors
Continually orientate- don’t change environment
Ensure hydrated and BSL level
Top5
Pharmacological should be used cautiously, to manage distressing symptoms ok but too Amy drugs is bad

Question 3

Types of dementia

Answer 3

Alzheimer’s- most common

Lewy bodies

Question 4

When is a CAM positive?

What’s a good MMSE score

Answer 4

When you have 
1 and 2
Or 
3 or
4
MMSE= above 24. 24 or below is impaired

Question 5

Assessing a patient that has fallen

Answer 5

SPLATT
Signs and symptoms 
Previous falls 
Location of falls 
Activity at time of fall
Time 
Trauma

Question 6

Falls risk assessment tools

Answer 6

FRAMP (falls risk assessment management and plan)
Functional assessment scales- gait and balance. Observed
Functional assessment tools- watch them do practical transfer tasks. Timed up and go for example, do they use their hands?

Question 7

Falls risk factors

Answer 7

Intrinsic- age, feet problems, pain, unsafe clothing, little confidence etc
Extrinsic- low chairs, trip hazards, bad shoes